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Workers Compensation Claims Advisor Jobs

Workers Compensation Claims Advisor - Overland Park, Ks Or Remote
By CRH Americas Corporate At , Atlanta, 30338
Provide WC claims’ management education and WC regulatory updates to local business units.
Bachelor’s degree in Risk Management, Finance or Nursing background preferred
Ability to effectively work and collaborate with people with a wide range of skills, experience, cultures, and capabilities
Other duties as directed by management
Minimum seven (7) years of experience managing WC claims
WC technical knowledge and WC case law in multiple jurisdictions from Ohio to California
Workers' Compensation Claims Facilitator
By State of Hawaii At , Island Of Hawai‘i $4,690 - $5,493 a month
C (Download PDF reader)lick here to view Minimum Qualification Specification (Download PDF reader)
Click here to view Minimum Qualification Specification (Download PDF reader)
o qualify, you must meet all of the following requirements:
Professional Trainee II: SR-18, Salary $4,339 per month
Professional Trainee I: SR-16, Salary $4,011 per month
Consideration may be given to lower levels:
Workers Compensation Claims Advisor - West - Remote
By CRH Americas Corporate At , Phoenix $85,000 - $100,000 a year
Provide WC claims’ management education and WC regulatory updates to local business units.
Bachelor’s degree in Risk Management, Finance or Nursing background preferred
Ability to effectively work and collaborate with people with a wide range of skills, experience, cultures, and capabilities
Other duties as directed by management
Minimum seven (7) years of experience managing WC claims
WC technical knowledge and WC case law in multiple jurisdictions from Ohio to California
Claims Technician - Workers' Compensation
By Sierra Pacific Industries At , Anderson, 96007 $17 - $25 an hour
Process payment of medical bills and invoices, meeting all statutory timeliness requirements
Minimum of one year of progressive office administration experience
Knowledge of workers’ compensation terminology preferred
Communicate with injured workers and service providers to facilitate claims administration
Provide injured workers with information about the workers’ compensation process
Handle multiple priorities simultaneously and effectively prioritize tasks to meet deadlines
Workers Compensation Claims Advisor
By FedEx Services At , Memphis $6,047 - $10,768 a month
Bachelor's Degree/or equivalent in Risk Management, Business, Finance, or related field.
Verbal and written communication skills necessary to communicate with all levels of management and third-party providers
Apply aggressive litigation cost management strategy on individual WC claim files
Adhere to quality management and compliance protocols
Ensure WC vendors are complying with service instructions and guidelines and escalate specific issues to Manager
Confirm initial and ongoing TPA reporting of WC claims requiring excess notification, and escalate claims meeting defined criteria to Manager
Workers Compensation Claims Adjuster Iii
By Intercare Holdings Insurance Services At , Glendale, 91203 $76,000 - $100,000 a year
Litigation management - Direct, manage, and control the litigation process.
Handles other duties and tasks as deemed appropriate by the Supervisor or Manager.
Initiate the referral to the SIU of cases with suspected fraud.
Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability.
Review and approve all vocational rehabilitation plans.
Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels.
Claims Adjuster - Workers' Compensation
By Berkshire Hathaway GUARD Insurance Companies At , Wilkes-Barre, 18701
Advising employers on the proper management and impact of Workers’ Compensation claims
Healthcare benefits begin on your first day of employment
Hybrid work schedule: Three days in the office, two days from home
The prompt provision of benefits and assistance in early return to work
Computer Literacy with strong Microsoft Office capabilities
Excellent communication and organizational skills
Workers Compensation Claims Adjuster Ii
By Intercare Holdings Insurance Services At , $28.85 - $42.30 an hour
Litigation Management - Direct, manage, and control the litigation process.
Handles other duties and tasks as deemed appropriate by the Supervisor or Manager.
Initiate the referral to the SIU of cases with suspected fraud.
Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability.
Review and approve all vocational rehabilitation plans.
Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels.
Workers Compensation Tpa Claims Assistant
By EMC Insurance At , Remote
Ability to attain all applicable state licenses within 30 days of hire and maintain appropriate continued education requirements
Notifies the Claim Manager/Supervisor of claims which require assignment to higher level Claims team members
Three years of claims support experience or related experience
Basic knowledge of insurance and claims processing
Strong knowledge of insurance and claims terminology
Good knowledge of computers, software, and applications
Claims Examiner - Workers Compensation
By Sedgwick At Pennsylvania, United States
Apply your examiner, knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Professional certification as applicable to line of business preferred.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Claims Team Lead - Workers Compensation | Concord, Ca
By Sedgwick At , Concord, Ca
Education & Licensing: 8+ years of claims management experience or equivalent combination of education and experience required.
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Compiles reviews and analyzes management reports and takes appropriate action.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Licensing / Jurisdiction Knowledge: Active adjuster license preferred and experience handling CA Workers Compensation Claims.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Workers Compensation Claims Representative (Northeast)
By Berkshire Hathaway Direct Insurance Company At , Remote
Negotiate and direct settlements under management's review
Effectively manage a caseload of loss time claims from numerous jurisdictions, including NY, PA, MA, NJ, MD, and TN.
A minimum of three years' experience required
Experience handling claims in NY, PA, MA, NJ, MD, or TN
Experience in handling lost time or litigated claims
Demonstration of strong organizational, problem solving, negotiation, and conflict resolution skills
(Remote) Claims Examiner - Workers Compensation
By Sedgwick At Texas, United States
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Professional certification as applicable to line of business preferred.
Opportunity to work in a remote or agile environment.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
Claims Examiner - Workers Compensation
By Mindlance At United States
•Experience of 5 years of claims management experience or equivalent combination of education and experience required.
•Coordinates vendor referrals for additional investigation and/or litigation management.
•Refers cases as appropriate to supervisor and management.
•Analyze complex or technically difficult workers' compensation claims to determine benefits due.
•Ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements.
•Manages the litigation process; ensures timely and cost effective claims resolution.
Claims Examiner - Workers Compensation
By Sedgwick At Florida, United States
Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Professional certification as applicable to line of business preferred.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Field Service Claims Advisor
By MillerKnoll At East Greenville, PA, United States

Performs additional responsibilities as requested to achieve business objectives.

Must be able to perform all essential functions of the position with or without accommodations.

Workers Compensation Claims Examiner
By TheBest Claims Solutions At Folsom, CA, United States

3+ years of experience handling Workers Compensation claims

Experience Handling Claims in California

Claims Representative - Lost Time - Workers Compensation
By PMA Companies At , Roseville, 95747, Ca $60,400 - $73,900 a year
Ensures timely denial or payment of benefits in accordance with jurisdictional requirements
Establishes and implements appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition
Maintains a working knowledge of jurisdictional requirements and applicable case law for each state serviced
Strong verbal, written communication skills and customer service skills gained through previous work experience
Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome
Authorizes treatment based on the practiced protocols established by statute or the PMA Managed Care department
Sr Account Claims Representative - Workers Compensation
By PMA Companies At , Blue Bell, 19422, Pa
Ensure timely denial or payment of benefits in accordance with jurisdictional requirements
Establish and implement appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition
Maintain a working knowledge of jurisdictional requirements and applicable case law for each state serviced
Select and manage service vendors to achieve appropriate balance between allocated expense and loss outcome
Authorize treatment based on the practiced protocols established by statute or the PMA Managed Care department
Bachelor's degree, or four or more years of equivalent work experience required in an insurance related industry required
Workers' Compensation Commission Claims Reviewer I
By State of Maryland At , Baltimore, 21202, Md $34,353 - $47,160 a year
1. Candidates may substitute additional general clerical experience on a year-for-year basis for the required education.
1 year of data entry experience
6 months experience in workers' compensation laws and regulations
1 year experience with workers’ compensation claims
1 year experience working with insurance companies/agencies
Intermediate skills in Microsoft Office (Word, Excel, Outlook and PowerPoint)